Certified Lactation Consultant Exam
1 breast or 2? ans: There is no difference in baby's net fat intake according to the number of breasts suckled per feeding or the breastfeeding frequency
Offer the 1st breast 1st and the 2nd breast 2nd it really doesn't matter 1 breast or 2 whatever they want...
Certified Lactation Consultant
Exam
1 breast or 2? ans: There is no difference in baby's net fat intake according to the number of breasts
suckled per feeding or the breastfeeding frequency
Offer the 1st breast 1st and the 2nd breast 2nd it really doesn't matter 1 breast or 2 whatever they want
1+ year of lactation ans: After one year of lactation the milk expressed has significantly increased fat and
energy contents, compared with milk expressed by women who have been lactation for a shorter time.
The volume of milk does not have to change as the baby gets older/bigger because the composition of
the milk changes
Anemia and breastfeeding ans: Postpartum hemorrhage can cause sheehans syndrome which in turn
causes hormonal issues including milk making hormones
Retained placenta fragments prevents the shift from lactogenesis stage 1 to stage 2 which can affect
your mature milk coming in
Breast milk composition changes... ans: Over the course of lactation
Within the day there are variations on the composition of milk
Within a feeding
By the way it is taken during a feeding
and also between feedings
Canabis use and breastfeeding ans: Exposure of infant to any kind of passive smoke is a concern. There is
no safe threshold limit for cannabis use in pregnancy. Among pregnant women cannabis use was
significantly associated with an increased risk of preterm birth and low birth weight
The high fat solubility of cannabinoids make them difficult to analyze in breast milk. THC (delta-9-
tetrahydrocannabinol) is measurable in milk 6 days after maternal use
Colic ans: An easily identifiable childhood problem that has no clearly identified treatment
Does not seem to be associated with GERD
Colicky babies had more than double the abundance of microbia in the gut
Constructed Knowing ans: The position at which truth is understood to be contextual, knowledge is
tentative, and it is understood that the knower is part of the known
Have abandoned either/or thinking
Have learned to live with conflict and have high tolerance for internal contradiction and ambiguity
Believe all knowledge is constructed and the knower is an intimate part of the known
Want to avoid compartmentalizing thought and feeling, home and work, self and other
Want to embrace all the pieces of the self in some ultimate sense of the whole: mother-daughter-wife-
artist
Aspire to work that contributes to the empowerment and improvement in the quality of life of others
Believe that ideas and values must be nurtured
Have a unique and authentic voice
, Engorgement ans: Breasts hard, hot, and shiny
Temp above normal
Feels discomfort in the breast
Nipple difficult to grasp, makes difficult for baby to latch
Occurs most commonly day 3-5
As the pressure builds up inside the breast milk production decreases, this is natures early dry up
mechanism
Failure to effectively resolve prolonged symptomatic engorgement may have a negative impact on
continued adequate milk supply
Placing breasts in a bowl of warm water will stimulate the milk to flow out to relieve some pressure so
you can then feed
Fat content in breast milk ans: Longer times in between feedings made for a lower fat content but faster
feedings made for a higher fat content where as feedings lasting longer than 30 mins made for a lower
fat content
Breastfed babies can regulate fat intake quickly and thus mothers should be encouraged to practice
baby led feeding
Maximum fat levels were obtained 30 mins post-feed
Focuses on advantages of breastfeeding on a personal (personal connection), community, country
(amount spent on healthcare), or global level (waste from formula & formula products)
Focuses on the good "advantages" of breastfeeding ans: Breastfeeding Promotion
Focuses on government, manufacturer, and social responsibility to assure breast feeding's ability to
compete with commercial interests.
Includes addressing improper marketing practices
Addressing breastfeeding in public, at work, jury duty, family law, mothers in prison, etc.. ans:
Breastfeeding Protection
Focuses on the interaction of "helpers" with family as well as program development and
implementation ans: Breastfeeding Support
Formula preparation and storing ans: Formula needs to be mix with water that is at least 70ºC or 158ºF
in order to kill Enerobacter Sakazakii
Formula made with hot water need to be cooled quickly to body temperature if it is being fed to the
baby immediately
If the formula is not being fed immediately, refrigerate it right away and keep refrigerated until feeling
Hierarchy of infant feeding choices ans: 1. Baby at mothers breast
2. Mother's own expressed milk
3. Milk from a milk bank
4. Cows milk forumla
5. Soy formula
How do I know my baby is getting enough milk? ans: One wet diaper for how old the baby is (however
this can be skewed by the diuresing process and is not a good indicator of adequate hydration)
4 wets on day 4 and each day after
Multiple poops each day that change in consistency and color
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